Heart surgery

Complex heart surgery with world’s smallest heart pump saves 90-year-old man at PGIMER

Doctors at PGI’s Advanced Cardiac Center, under the direction of Professor Yash Paul Sharma, have successfully performed a rare, high-risk heart operation, the first in the institute’s history.

A team of doctors from the department of Associate Professor Dr. Himanshu Gupta, under the supervision of Professor Sharma, performed a very complex and life-saving angioplasty on a 90-year-old man who suffered from weak heart and critical coronary artery disease and severe COPD, and was too old and weak for open-heart surgery.

Gupta said the patient was not suitable for open heart surgery, but the angioplasty procedure was also very complex and high risk because the patient suffered from a heavily calcified left main trifurcation with a weak heart. .

“In this procedure, we used the Impella device, which is a miniature heart pump that supports the patient’s vital signs during the angioplasty process,” said Yash Paul Sharma. The doctors explained that because the patient had heavily calcified coronaries, they first had to use 3 rotablator burs of different sizes, followed by a shock wave balloon (IVL) to remove the large amount of calcium before the stents can be successfully implanted in the patient.

The procedure took four hours and the Impella device helped maintain patient stability throughout the procedure. The patient recovered well after the procedure and was discharged after two days. These types of procedures have also been performed successfully in the past.

However, without the use of new devices like the Impella, they previously posed an extremely high risk. “At PGI, we are pleased to now be able to use this device for high-risk procedures and to improve patient safety and outcomes,” added Sharma.